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FNP Review 9

GI disorders appendicitis

inflammation of the variform appendix appendicitis
causes of appendicitis obstruction formed by fecalith , foreign body, inflammation or neoplasm; hypertrophy of lymphoid tissue associated with viral infection, trapped barium after imaging, intestinal worms
appedicitis:most common in people age 10-30 yr
appendicitis: classic presentation abdominal pain that is poorly localized to periumblical or epigastric area, with migration to RLQ; 4-6hr; rebound tenderness, fever, guarding
appendicitis: physical exam RLQ tenderness with rebound & guarding; positive Rovsing's sign, psoas sign, obturator
appendicits: red flag differential ectopic pregnancy, intestinal obstruction, torsion of viscus, abdominal aneurysm
appendicitis: diagnostic workup CBC (leukocytosis); UA (exclude hematuria/infection); urine bHCG (female); abd xray (exclude intestinal obstruction); CT scan (detect appendiceal inflammation)
appendicitis: treatment observation, monitor UO & VS, IVF resuscitation; urgent appednectomy (sx consult); avoid cathartics or enemas for risk of performation; antibiotics
Created by: deleted user